In final rules that provide the annual update to Medicare Part A reimbursement for skilled nursing facilities (SNFs), the Centers for Medicare & Medicaid Services (CMS) increases Part A reimbursement by approximately $1.4 billion (4.0%), a higher … [Read more...] about CMS Reimbursement Rules for Skilled Nursing Facilities Disappoint Residents’ Advocates
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Newly Revised CMS Home Health Benefit Brochure
The Center for Medicare Advocacy (the Center) is grateful to the Center for Medicare & Medicaid Services (CMS) for revising a CMS Medicare home health brochure issued earlier this year. The Center identified some concerns about the brochure’s … [Read more...] about Newly Revised CMS Home Health Benefit Brochure
Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
The Centers for Medicare & Medicaid Services’ proposed annual update to Medicare Part A reimbursement for skilled nursing facilities, published in the Federal Register on April 10, 2023, includes policy issues of concern to advocates for … [Read more...] about Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
Center Comments on Skilled Nursing Facilities Payments and Oversight, 2023
Centers for Medicare & Medicaid ServicesDepartment of Health and Human Services June 5, 2023 Re: Medicare and Medicaid Programs; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality … [Read more...] about Center Comments on Skilled Nursing Facilities Payments and Oversight, 2023
Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
In 2013, a federal district court approved a settlement agreement in the case of Jimmo v. Sebelius that confirmed Medicare coverage should be determined by a beneficiary’s need for skilled care, not the individual’s potential for improvement. The … [Read more...] about Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues
I. FINAL PART C & D RULE On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D. The final rule is available in the Federal Register at 88 Fed … [Read more...] about Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues
Medicare Agency is Seeking Comments on Medicare Advantage
On August 1, 2022, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) that “seeks input from the public regarding various aspects of the Medicare Advantage program. Responses to this request for … [Read more...] about Medicare Agency is Seeking Comments on Medicare Advantage
Home Health Comments 2023
August 5, 2022 Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1766-P, P.O. Box 8013Baltimore, Maryland 21244-8013 Submitted electronically to: https://www.regulations.gov Re: File … [Read more...] about Home Health Comments 2023
CMA Alert | April 21, 2022
Members of Congress Send Letter to CMS Urging Agency to Address Medicare Advantage Overpayments On April 20, 2022, 19 members of the House and Senate sent a letter to Centers for Medicare & Medicaid (CMS) Administrator Chiquita Brooks-LaSure … [Read more...] about CMA Alert | April 21, 2022
When Artificial Intelligence in Medicare Advantage Impedes Access to Care: A Case Study
The use of artificial intelligence (AI) in healthcare is capturing headlines as a potential tool to streamline operations and predict patient needs for favorable health outcomes, among other things.[1] The Center for Medicare Advocacy, however, has … [Read more...] about When Artificial Intelligence in Medicare Advantage Impedes Access to Care: A Case Study